DR. MICAH BONNETT MORDECAI (D.C.) – Occupational Health Chiropractor, NPI 1124188602

DR. MICAH BONNETT MORDECAI (D.C.) is a healthcare provider. based in Waco, Texas. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 6236 (TX). The NPI Number for DR. MICAH BONNETT MORDECAI (D.C.) is 1124188602

Main info

Male
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICAH BONNETT MORDECAI (D.C.)
NPI
1124188602
Phone
(254) 751-1606
Address
200 W STATE HIGHWAY 6 STE 607
Enumeration Date
12 December 2006
Last Update Date
7 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2647415992
Graduation Year
1993 (33 years ago)
PAC ID
3678752532
Group Practice PAC ID
9133413461
Professional Enrollment ID
I20110124001175
Address ID
TX767104452WA1300XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,110 CHIROPRACTIC in TX

Provider Addresses for DR. MICAH BONNETT MORDECAI (D.C.)

  • 200 W STATE HIGHWAY 6 STE 607

    WACO, TX 767123984

    Phone: (254) 751-1606

    Fax: (866) 571-1622

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110124001175IChiropracticTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions94794$0
View full utilization report →

Insurance plans in this area (ZIP 76712)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133413461View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. MICAH BONNETT MORDECAI (D.C.)'s NPI?
You can confirm DR. MICAH BONNETT MORDECAI (D.C.) with NPI 1124188602; it appears in the national provider directory.
Is DR. MICAH BONNETT MORDECAI (D.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does DR. MICAH BONNETT MORDECAI (D.C.) treat or focus on?
Patients typically see DR. MICAH BONNETT MORDECAI (D.C.) under the specialty Occupational Health Chiropractor. Clinical services aligned with this taxonomy classification.
Where does public data place DR. MICAH BONNETT MORDECAI (D.C.)?
The snapshot lists Waco, Texas for DR. MICAH BONNETT MORDECAI (D.C.); download NPPES for the complete set.
Is DR. MICAH BONNETT MORDECAI (D.C.) a real provider?
This page reflects official NPPES data for NPI 1124188602. Always confirm identity and privileges with the practice and licensing boards.

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